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Parcel 032-2036-60-000 04/10/2006 10:19 AM
PAGE 1 OF 1
Alt. Parcel 10.30.19.614E 032 - TOWN OF SOMERSET
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - SAHNOW, BETTY L
BETTY L SAHNOW
1674 68TH ST
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 1674 68TH ST
SC 5432 SCH D OF SOMERSET
SP 1700 WITC
Legal Description: Acres: 5.000 Plat: N/A-NOT AVAILABLE
SEC 10 T30N R19W 5A COM 683'W OF NE Block/Condo Bldg:
COR, TH S 1185', TH W 33' TO POB; TH W
607.94', S 357.21' TH E 614.68' TH N Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
357' TO POB AS IN VOL 577 PAGE 557 10-30N-19W
ASSESS WITH P617D
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 726/151
07/23/1997 577/557
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/23/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.000 58,000 99,100 157,100 NO
Totals for 2006:
General Property 5.000 58,000 99,100 157,100
Woodland 0.000 0 0
Totals for 2005:
General Property 5.000 58,000 99,100 157,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 104
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
0` . ADDRESS , TOWNSHIP SEC. T N, R W
0. ST. CROIX COUNTY, WISCONSIN.
'3DIVISI0N T LOT LOT SIZE
PLAN VIEW
-Distances & dimensions to meet requirements of H62.20
SHOW EVERY'T'HING WITHIN 100 FEET OF SYSTEM
S
_TIC TANK(S) MFGR. CONCRETE_ STEEL
NO, of rings on cover Depth DRY WELL
INCHES NO. of width length area
no. of lines width length area
depth to top of pipe
,3EGATE
RATE AREA REQUIRED AREA AS BUILT
::claimer: The inspection of this system by St. Croix County does not imply complete ;
-pliance with State Administrative Codes. There are other areas that it is not possible /
inspect at this point of construction. St. Croix County assumes no liability for
;tem operation. However, if failure is noted the County will make every effort to
.-ermine cause of failure.
:ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
"INSPECTOR
DATED PLUMBER ON JOB_
LICENSE NUMBER '
t
REPORT OF IIISPrCTION--INDIVIDUAL SEIJACE DISPOSAI, SYSTEM
Sanitary Permit r State Septic
IE / TOtTIISHIP
t. Croix County
SEPTIC TAM' ~ t ~ v,_.G /
Size Z- gallons. `umber of Comoartments .
Distance From: Tell Cs,~ct``` ft. 12% or greater slope
Building ft. Wetlands
f.
Highwater ft,
DISPOSAL SYSTL:1 Tile Field or Seepage Pit(s)
C. Distance From: Well ft, 12% or greater slope Sft
Building ft. Wetlands - f:-.
FIELD 111lighwater T ft.
Total length of lines G `
Z_ ft. iiumber of lines ~ Length of
each line ft. Distance between lines ft. Width of the
trench ,,~L._ft. Total absorption area sq. ft. Depth
of rock below the ~`in, Depth of rock over tile in. Cover
over.rock., 7 -
trench of the below grade in. Slope P0 of
1 -
trench n ner Ins) ft. Depth to Bedrock ft. Depth to
around water ft.
PITS
j .
:lumber of nits Outside 'a et ft. Depth below inlet
ft. Gravel around pit•; e no. Total absorption area
q. ft.
Square feet of seepage trench bottom area required
Cquars feet of see p./ pit ar required
Inspected by': Title:
Approved Date c 197
Rejected Date 197
EH 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: ,SE'/a,Ae-%, Section T3ON, R,60 (or) 111.2rownship or Municipality so".,
Lot No. 1/C Block No. County T./`o,
O 0 C) ~ Subdivision Name
Owner's Name:
/f h~`,sC.1 y1
Mailing Address: 00q U&
TYPE OF OCCUPANCY: Residence No. of Bedrooms _ - Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION ---REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS 6"11-71
SOIL MAP SHEET SOIL TYPE1/~° Z+- •t~1' /404
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P- 30 11Y
P-3 y /V0
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
.
F k nC cd, 51,-641,
B- 3 -7
~t1CA. ee - > ~ 3 ,SAC S 4-6 f
B- f ei1i 7 3 : ` 7~5, Q S~ S'/rte t L-r.
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suitable areas. Indicate nu m of scuare feet of absorption area
needed for building type and occupancy. y 0~~~' A/ ~'m C Indicate scale
or distances. Give horizontal and vertical reference poin s. 3 dic a slope.
~`r r- a~`',!t-.•,,
,
I I I
I j
X
I ~ { 3 I ' ~i'
I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures
and methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct
to the best of my knowledge and belief.
Certification No.
Name (print)
Address- lCl~ ~r€~ /tEP l dam,+i~c Lt.~.'z ~`~y'D
Name of installer if known
COPY A -LOCAL AUTHORITY CST Signa -
State and County State Permit #
PLB67 Permit Application County Permii
Y
for Private Domestic Sewage Systems Count-
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
J-0 7- 3
B. LOCATION: SiF- '/4 f- Section la, T,30 N, R/!y F-- (or) of ,00-City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township . S-0 r-.s -
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance_
Single family Duplex No. of Bedrooms No. of Persons_
D. TYPE OF APPLIANCES: Dishwasher X YES NO Food Waste Grinder- YES X NO # of Bathrooms-2-
Automatic Washer X YES NO Other (specify)
E SEPTIC TANK CAPACITY IC aC Total gallons No. of tanks
`Holding tank capacity Total gallons No. of tanks _ _
i ew Installation -Addition Replacement - Prefab Concrete
`Poured in Place Steel Other (specify)
FFLUENT DISPOSAL SYSTEM: Percolation Rate 1).2 2) / 3) Total Absorb Area sq. ft.
f ew X Addition Replacement *Fill System /.?S~h,X-C&.-,, ,L
seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
seepage Bed: Length Width Depth Tile Depth " No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size /
Percent slope of land c i4y, /Distance from critical sI pe
'r I Ad 5; S
1, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
by the Ce ified Soil Tes/r~
NAME L ~4t»-~? C.S.T. and other information
obtained from owner y
Plumber's Signature MP/MPRSW# / Phone #715
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
C -~/td~ \
~j.~~l~,; Win. ~d~/(~f-~~✓.~Cc-r rug -~R .4 a.. ~
w"eke
Do Not Write in Space Below- FW DEPARTMENT USE ONLY /
Date of Application Fees Paid: State Count Date
-e Z
Permit Issued (date) ~ssuing Agent Name
Inspection Yes No Valid# Date Recd
1. county (wh' a copy) 3, owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink copy) 4. plumber (canary cop.